SAMANTHA ELLIS

TIGARD, OR
NPI1710341391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133NN1002X Nutritionist Nutrition, Education
Enumeration Date2016-04-08
Last Update Date2016-04-08
Business Address
SAMANTHA ELLIS
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 505-726-3740
Mailing Address
SAMANTHA ELLIS
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: